Immediate Dentin Sealing with Self-etch Dentin Bonding Agent for Indirect Restoration
Érica M de Torres, Lawrence G Lopes, Murillo M Leite, Dhiogo R de Souza, Marco A Carvalho
Citation Information :
de Torres ÉM, Lopes LG, M Leite M, R de Souza D, A Carvalho M. Immediate Dentin Sealing with Self-etch Dentin Bonding Agent for Indirect Restoration. World J Dent 2017; 8 (6):490-495.
This case report describes the immediate dentin sealing (IDS)
technique with self-etch dentin bonding agent (DBA) for indirect
restorations. To avoid problems related to dentin exposure
when preparing teeth for indirect restorations, the sealing of
the dentin immediately after preparation and before impression
has been recommended. The IDS technique with self-etch
DBA prevents the patient from inconveniences associated with
dentin demineralization by phosphoric acid in the traditional
total-etch technique. The case report presented describes the
indirect restoration of the right upper first molar using the IDS
technique with a self-etch DBA covered with a low-viscosity
composite resin. The lithium disilicate glass ceramic restoration
was obtained with a computer-aided design/computer-aided
manufacturing (CAD/CAM) system. Selective enamel etching
occurred before cementation with resin cement. A follow-up
of 15 months revealed success of the treatment and lack of
sensitivity. The incorporation of IDS with indirect restoring teeth
adhesively may provide better marginal fit, reduce marginal infiltration,
protect the dentin–pulp complex, reduce postoperative
sensitivity, bring more comfort to the patient, and is long-lasting
to the restored teeth.
Clinical significance: The IDS technique with a self-etch DBA
is an excellent clinical option to avoid some inconveniences of
traditional protocols for indirect restorations.
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